CMS Price Transparency Data

Speech therapy (group session)

Facility: HCA Florida Raulerson Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $69
  • Cash Discount Price: $527
  • vs. Medicare Baseline: 2.87x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at HCA Florida Raulerson Hospital is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $527. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 2.87x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$527

Average discount available for prompt cash payment at this facility.

Insurance Median
$69

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$24.05

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $24.05 (100%)
Cash / Self-Pay: $527 (2191%)
Insurance Median: $69 (287%)
Cash: $527 (2191% of Medicare)
Ins. Median: $69 (287% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $24.05 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 287% of the Medicare baseline (a markup of 187%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $23 - $211 96%
Aetna $24 - $158 100%
Blue Cross Blue Shield $24 100%
Careplus $24 100%
Devoted Health $24 100%
Ndms Definitive Care $24 100%
Ultimate Health Plan $24 100%
United $24 - $237 100%
Veterans Evaluation Services $24 100%
Wellmed $24 100%
American Health Plan $25 104%
Cigna $25 - $185 104%
Florida Complete Care $25 104%
Prominence Healthfirst $25 104%
Sunshine State $25 - $26 104%
Centurion $26 108%
Amerihealth Caritas $28 116%
Longevity Health Plan $28 116%
Solis Health Plan $34 141%
Corvel Corporation $40 - $216 166%
Careworks (Rockport) $41 - $220 170%
Prime Health $41 - $220 170%
Freedom Health $45 - $84 187%
Optimum $45 187%
Avmed $69 - $264 287%
Simply Healthcare Plans $69 287%
Molina $100 - $142 416%
Oscar $100 416%
Health Sun Health Plan $112 466%
Simply Healthcare $124 516%
Sunshine State Health Plan $134 557%
United Ppo $232 965%
Plotkin Health $264 1098%
Prime Health Sherriff $264 1098%
Multiplan $395 - $448 1642%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals